75-02-05-04.2. Termination of provider enrollment.

The department may terminate the enrollment of a Medicaid or children's health insurance program provider under the following circumstances:

1. The individual is enrolled to provide transportation, but does not possess a current driver's license or has a driver's license that has been suspended or revoked;

2. The enrolled provider fails to revalidate its enrollment per federal requirements and according to the re-enrollment schedule established by the department;

3. The enrolled provider or practitioner does not submit a Medicaid or children's health insurance program claim to the department for twenty-four months or more;

4. There is a loss of contact with the enrolled provider; or

5. As a result of sanction imposed in accordance with section 75-02-05-07 or North Dakota Century Code chapter 50-24.8.

History: Effective April 1, 2020.

General Authority: NDCC 50-06-01.9, 50-24.1-04, 50-24.1-36, 50-29-02

Law Implemented: NDCC 50-24.1-36; 42 CFR 431.107